Organization
DENISE PRIMAVERA D.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE L. PRIMAVERA D.C. (CHIROPRACTOR)
(215) 723-7900
Entity
Organization
Contact information
Practice address
4019 BETHLEHEM PIKE, TELFORD, PA 18969-1126
(215) 723-7900
(215) 723-4481
Mailing address
4019 BETHLEHEM PIKE, TELFORD, PA 18969-1126
(215) 723-7900
(215) 723-4481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005445L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256503
AETNA PROVIDER ID
PA
01
—
2012269000
IBC PROVIDER ID
PA
01
—
2696603000
KEYSTONE GROUP ID
PA
01
—
S39676
AMERIHEALTH PROVIDER ID
PA
Enumeration date
12/13/2006
Last updated
08/22/2020
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